Ingabe uke waba ne-blister encane ebomvu emzimbeni wakho ngokuzumayo, ikakhulukazi emilenzeni yakho, eyaphenduka ngokushesha yaba inxeba elikhulu, elijulile, nelibuhlungu kakhulu? Ungase ucabange ukuthi leli inxeba elivamile, noma ukuthi ulunywe yisinambuzane esithile. Kodwa ngezinye izikhathi kungaba yinkimbinkimbi kakhulu kunalokho, futhi kudinga ukunakwa okukhethekile. Namuhla sikhuluma ngesimo esingavamile kakhulu eSri Lanka, kodwa kubalulekile ukwazi ngaso. Leso yi -Pyoderma Gangrenosum .
Kalula nje, iyini i-Pyoderma Gangrenosum?
I-Pyoderma Gangrenosum (ebizwa ngokuthi: pyo-der-ma gane-gra-no-sum) yisimo sesikhumba esihlala isikhathi eside, esiphindaphindayo. Siqala njengeqhubu elincane, elinombala ophuzi (obomvu, onsomi, oluhlaza okwesibhakabhaka) noma iqhubu eligcwele uketshezi (iqhubu noma i-bullae) esikhumbeni sakho. Lokhu kukhula ngokushesha okukhulu, kusakazeke, bese kuba isilonda esivulekile, esijulile (isilonda) esidabula esikhumbeni.
Izilonda ezilodwa noma ngaphezulu zingavela emzimbeni. Uma isimo singesibi kakhulu, kungase kube nezilonda ezilodwa kuphela. Kodwa-ke, ezimweni ezimbi kakhulu, izilonda eziningi zingavela. Lezi zilonda zibuhlungu kakhulu.
Into ebalulekile ukuthi i-Pyoderma Gangrenosum ivame ukwenzeka kanye nezinye izimo zezokwelapha emzimbeni. Lokhu kusho ukuthi ingenzeka njengophawu lwesinye isimo kunokuba kube yisifo sodwa.
Ubani okungenzeka kakhulu ukuthi athole lesi simo?
Nakuba lesi sifo singavela kunoma yimuphi ubudala, asivamile kakhulu ezinganeni ezincane. Sivame kakhulu kwabesifazane abaneminyaka ephakathi kuka-20 no-50. Futhi, uma unezimo zezokwelapha ezilandelayo, ingozi yakho yokuthola i-Pyoderma Gangrenosum iphakeme kancane.
- I-Rheumatoid Arthritis: Lesi yisifo esihlasela amasosha omzimba esibangela ukuvuvukala nobuhlungu emalungeni.
- I-Ulcerative Colitis : Isimo lapho ulwelwesi lwamathumbu amakhulu luvuvukala khona.
- Isifo sikaCrohn: Esinye isifo esingabangela ukuvuvukala noma kuphi endleleni yokugaya ukudla.
- Izinhlobo ezithile zomdlavuza: ikakhulukazi umdlavuza ohlobene negazi njenge-leukemia noma i-lymphoma.
Lesi simo asivamile kakhulu eSri Lanka. Uma sikhuluma nje, ezweni elifana neMelika, lesi sifo sibikwa cishe koyedwa kubantu abayikhulu lezinkulungwane. Kodwa akukuhle ukungazi ngalokhu ngoba akuvamile.
Yiziphi izimpawu eziyinhloko ze-Pyoderma Gangrenosum?
Nakuba lesi simo singavela noma kuphi emzimbeni, sivame ukubonakala emilenzeni, emaqakaleni nasezinyaweni. Singenzeka nasezandleni, entanyeni nasezithweni zangasese. Manje ake sibone ukuthi yiziphi izimpawu ongase ube nazo ngalesi simo.
| Isibonakaliso | Incazelo |
|---|---|
| Izinguquko zesikhumba | Kuqala ukubonakala njengeqhubu elincane, elibomvu, elinsomi, eliluhlaza okwesibhakabhaka, noma elimnyama noma iqhubu eligcwele ubomvu esikhumbeni. Lokhu kungakhula ngokushesha okukhulu. |
| Amanxeba avulekile (Izilonda) | Lelo qhubu elincane lisakazeka ngokushesha, liphenduke inxeba elijulile, elivulekile elidabula isikhumba. Izinhlangothi zala manxeba ziphakanyisiwe futhi zibonakala kahle. |
| Ubuhlungu nokuvuvukala | Inxeba nendawo ezungezile zivuvukele futhi zibuhlungu, okungaphezu kakhulu kwesilonda esivamile. |
| Ezinye izici | Abanye abantu bangase babe nezimpawu ezijwayelekile njengomkhuhlane kanye nobuhlungu bamalunga. |
Kungani kwenzeka into efana nale? Iyini imbangela?
Eqinisweni, odokotela abakakwazi ukuthola imbangela eqondile ye-Pyoderma Gangrenosum, kodwa kukholelwa kakhulu ukuthi ibangelwa ukungasebenzi kahle kwesimiso sethu somzimba sokuzivikela.
Kalula nje, uhlelo lokuzivikela lomzimba wethu, uhlelo lokuzivikela komzimba, luqala ngephutha ukuhlasela izicubu zethu zesikhumba ezinempilo. Sibiza lezi zinhlobo zezifo ngokuthi izifo zokuzivikela komzimba.
Enye into ebaluleke kakhulu ukuthi ngezinye izikhathi, ukulimala okuncane esikhumbeni, njengokusikeka, ukuklwebheka, noma ukuhlinzwa, kungabangela noma kube kubi kakhulu i-Pyoderma Gangrenosum. Kwezokwelapha, lokhu sikubiza ngokuthi 'i-pathergy' . Lesi yisici esikhethekile salesi sifo. Isibonelo, ngemva kokuhlinzwa, la manxeba angavela futhi eduze kwendawo ye-stoma.
Ingabe lesi yisifo esithathelwanayo?
Lutho neze. Lokhu kuyinto edinga ukukhunjulwa ngokucacile.
I-Pyoderma Gangrenosum ayisona isifo esithelelanayo. Ayisabalali kusuka komunye umuntu kuya komunye ngokuthinta noma nganoma iyiphi enye indlela.
Udokotela uhlonza kanjani ngokunembile i-Pyoderma Gangrenosum?
Lesi ngesinye sezinselelo ezinkulu ngalesi sifo. Ngoba akukho ukuhlolwa okukodwa okungaqinisekisa ukuthi, 'Yebo, yilokhu.' Yingakho odokotela beqala ngokuqinisekisa ukuthi ezinye izimo zezokwelapha azibangeli lesi sifo. Okusho ukuthi, bakhipha ezinye izimbangela ezingaba khona zalezi zilonda ngasinye ngasinye.
Udokotela wakho uzozama ukuqeda izinto ezifana nalezi:
- Ukutheleleka ngamagciwane noma ngesikhunta
- Umdlavuza wesikhumba
- Izimo zokuvuvukala emithanjeni yegazi
- Ezinye izifo ezizimele, njenge-lupus
Ukuze uqinisekise lezi zinto, kungadingeka wenze izivivinyo ezifana nalezi:
- Ukuhlolwa kwegazi: Hlola ukuvuvukala nezinye izifo emzimbeni.
- I-Biopsy: Kuthathwa ingxenye encane kakhulu yesikhumba esilondeni bese ihlolwa ngaphansi kwe-microscope.
- Ukuthatha amasampula omnkantsha: Uma kusolwa izimo ezifana nomdlavuza wegazi.
- Ukuhlolwa kwekhamera okukhethekile: Ukuhlolwa okufana nokuthi ``(Colonoscopy)`` ukuhlola ikholoni uma kusolwa isimo esifana nesifo sikaCrohn.
Yiziphi izindlela zokwelapha lokhu?
Kunezindlela eziningana zokwelapha i-Pyoderma Gangrenosum. Udokotela wakho uzonquma ukwelashwa ngokusekelwe ebunzimeni besimo sakho.
Ezimweni ezincane
Ezigabeni zokuqala noma uma isimo singesibi kakhulu, udokotela angase anikeze okhilimu noma amafutha okugcoba ukuze asetshenziswe enxebeni.
- Okhilimu be-corticosteroid: Lena imithi enamandla elawula ukuvuvukala nokuvuvukala. Ifakwa ngqo esilondeni.
Uma isimo sibucayi
Uma izilonda zikhulu, ziningi, noma ubuhlungu bukhulu, kungadingeka imithi yomlomo noma ezinye izindlela zokwelapha ezikhethekile.
- Amaphilisi e-Corticosteroids:Imithi efana ne-prednisone ilawula ukuvuvukala emzimbeni wonke.
- Imithi yokucindezela amasosha omzimba: Le mithi isebenza ngokunciphisa ukusebenza kwesimiso sethu somzimba, isenza singalimazi imizimba yethu. I-Cyclosporine ingenye yemithi enjalo.
- Izinto eziphilayo: Lezi yizidakamizwa ezintsha, ezithuthukisiwe ezihlose amaprotheni athile emzimbeni abangela ukuvuvukala.
- Ukususwa kwezicubu ezifile: Ukususwa kwezicubu ezifile ngokuhlinzwa esilondeni ngezinye izikhathi kungasiza. Kodwa lokhu kuyingozi. Ngenxa yesimo esibizwa ngokuthi 'i-pathergy' esikhulume ngaso ekuqaleni, lolu hlobo lomonakalo wesikhumba lungenza isimo sibe sibi kakhulu. Ngakho-ke lokhu kufanele kwenziwe kuphela ngokuqapha okukhulu nangaphansi kokuqondisa kukachwepheshe.
Yini okudingeka ngiyazi ngenkathi ngiphila nalesi simo?
Ukuphila ne-Pyoderma Gangrenosum kungaba yinselele, kodwa ngokuphathwa kahle , kungalawulwa.
Ukunakekelwa kwenxeba
- Gwema ukulimala kwesikhumba: Qaphela ngangokunokwenzeka ngokusikeka, imihuzuko, kanye nemihuzuko. Ngisho nokuklwebheka okuncane kungaba imbangela yesilonda esisha.
- Gcina inxeba lihlanzekile: Geza inxeba ngamanzi ahlanzekile nensipho njengoba kuyalelwe udokotela wakho. Lokhu kubaluleke kakhulu ukuvimbela ukutheleleka.
- Faka ibhandishi ngendlela efanele: Sebenzisa amabhandishi akhethekile anganamatheli enxebeni. Kwamanye amanxeba anzima, udokotela wakho angase ancome amabhandishi akhethekile, njenge-hydrocolloid. Iseluleko sikadokotela wakho siyinto ebaluleke kakhulu.
Isikhathi sokuphulukiswa
Lesi simo singathatha amasonto, ngisho nezinyanga, ukuba siphole. Ngakho-ke kubalulekile ukuba nesineke futhi ungalindeli imiphumela esheshayo.
Impilo yengqondo
Kujwayelekile ukuzizwa ucindezelekile futhi ucindezelekile lapho ubhekene nesimo esibuhlungu esihlala isikhathi eside njengalesi. Khuluma nomndeni wakho nodokotela ngemizwa yakho. Funa usizo kumeluleki wezempilo yengqondo uma kudingeka.
Ukwazisa abanye odokotela
Uma une-Pyoderma Gangrenosum, qiniseka ukuthi utshela udokotela wakho uma ubonana naye nganoma yisiphi esinye isizathu (njengokukhishwa kwezinyo noma ukuhlinzwa okuncane), ngoba noma yini oyenzayo esikhumbeni sakho ingabangela ukuthi lesi simo sibuye.
Kunini lapho udinga ukubonana nodokotela?
Kunezimo eziningana lapho kufanele ubonane nodokotela wakho ngokushesha.
- Uma unesifo esiyingozi njengesifo samathambo noma isifo sikaCrohn bese ukhula amabhamuza noma izilonda esikhumbeni sakho ezikhula ngokushesha.
- Uma inxeba lakho libonakala lithelelekile (isib. ukubomvu, ukushintsha kombala onsomi okuzungeze inxeba, ukuvuvukala okwandisiwe, noma iphunga elibi).
- Uma uthola izimpawu ezintsha.
- Uma imithi esetshenziswa ekwelapheni ibangela imiphumela emibi kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-Pyoderma Gangrenosum akuyona nje inxeba elivamile. Yisimo sesikhumba esingavamile kodwa esibi esibangela izilonda ezibuhlungu.
- Lokhu akuthelelani. Ngakho-ke asikho isidingo sokuzihlukanisa noma sokwesaba isiguli.
- Lokhu kuvame ukuhlotshaniswa nenkinga ngesimiso sakho somzimba sokuzivikela kanye nezinye izifo, njenge-arthritis.
- Ngisho nokulimala okuncane esikhumbeni kungabangela ukuthi lesi sifo sibe sibi kakhulu (Pathergy). Ngakho-ke, kubaluleke kakhulu ukuzivikela ekulimaleni.
- Ukuxilonga lesi sifo kuyinkimbinkimbi futhi ukwelashwa kungathatha isikhathi eside. Kubalulekile ukuba nesineke nokulandela iseluleko sezokwelapha.
- Uma une-Pyoderma Gangrenosum, kubalulekile ukuthi utshele udokotela wakho ngaphambi kokuhlinzwa noma ukwelashwa okuhlobene nesikhumba.
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